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The Operating System Podcast

The Operating System Podcast

This show is for people running complex operations who don’t necessarily have time for theory — but want to know what’s actually working for others doing it at the highest level.
Whether you’re running an imaging center, leading a radiology department, or optimizing any complex system, we’re here to uncover what separates the good from the truly exceptional.

Quality Improvement & Catching Cancer Early with Dr. Ben Wandtke

Andy Milkowski 13 September 2026
Most radiologists measure their impact one read at a time. Ben Wandtke decided to measure his by what happens after the report goes out. Ben is a professor and vice chair of quality and safety in the Department of Imaging Sciences at the University of Rochester Medical Center, chief of diagnostic imaging at Thompson…

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Leadership Is the Metric – Jim McCarville

Andy Milkowski 13 September 2026
Most healthcare improvement stories start with a mandate from the top. Jim McCarville built his career proving the opposite works better. An industrial engineer by training, Jim has spent 40 years working inside more than 100 hospitals, first as a consultant, then as an executive. At Sarasota Memorial, he brought discrete event simulation into…

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Lean Radiology: Unlock Your Operational Advantage with Dr Stephen Holtzman

Andy Milkowski 13 September 2026
Most radiology groups think growing market share means better equipment or more sub-specialists. Dr. Stephen Holtzman proved otherwise, and he has the numbers to back it up. Stephen is an interventional radiologist, Founder and CEO of TurboRad, and former CEO of Radiology Associates of San Luis Obispo (RASLO), where he led a full lean…

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When Clinical Knowledge Meets Code with Dr. Lee Milligan

Andy Milkowski 13 September 2026
Most CIOs come up through IT. Lee Milligan came up through the ER. After training at UCLA and working as an attending emergency physician, Lee taught himself to program, got pulled into his hospital’s EHR selection process, and eventually became Senior Vice President and Chief Information Officer at Asante Health System in Oregon, a…

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When The Referral Breaks Down with Chris Baxley

Andy Milkowski 13 September 2026
Chris Baxley has spent his career solving problems that most healthcare operators have decided to live with. He served in the US Army, earned his MBA at Vanderbilt, and worked through the 2008 financial crisis as a healthcare investment banker at JP Morgan. He then moved into operating roles at Healthways, Healthgrades, and Rad…

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The Power of Operational Data

Andy Milkowski 13 September 2026
Most imaging leaders think they have a throughput problem. Michael Wendt says they have a drama problem. A 23-year Siemens Healthineers veteran who rose to Senior Vice President running North American sales and service, Michael now runs The Green Chair Group, helping radiology practices unlock productivity hidden inside their existing operations. In this episode,…

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